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City Permit N? 6228 <br />Contractor Soy _U dAoV S cNE2V (Ce S Address N.IKA Mil - <br />Owner. WtLLiav%& 'Vios mm iL Address r_2375 _DEQ 1 V1 <br />State License No. <br />Parcel No. <br />City License No, <br />GENERAL PERMIT <br />CPI'Y OF ORONO <br />Crystal Bay, Minnesota <br />473-7357 Date /2 _ <br />Section No. Lot Block Subdivision <br />Plat No. <br />Other Description: <br />I hereby agree that, in case a permit is granted, all work which shall be done and all materials which shall be used, <br />shall comply with the City Code of Orono applicable thereto, and shall include all additional specifications as listed <br />below. <br />Water Meter: <br />Fee $ <br />Sewer Hookup: (City) <br />Fee $ <br />Install Plumbing Systems: <br />Fee $ <br />Install Sewage Disposal Systems: <br />Fee $ <br />Install Water Hookup: (City) <br />Fee $ <br />Install Water Supply Systems: (Well) <br />Fee S <br />SAC <br />Fee $ <br />State Surtax: <br />Fee $ <br />Signat of applicant <br />7 <br />Signs City Offi ' <br />Total Amount Paid to City ......... Fee $ �S50 <br />Code: White -File Copy; Canary -Inspector's Copy; Pink -Finance Copy; Gold- Applicant's Receipt <br />